CMS is forcing payment reform into every corner of its dominion including Post-Acute Care. Nursing Facilities have been trying to focus on the challenges of learning ICD-10 coding. This focus may put these facilities on the wrong path; assigning a complex new burden to an already beleaguered nursing staff. Click here to read the full … Click to continue reading

The Patient Driven Payment Model (PDPM) goes into effect on October 1st, and many providers still aren’t fully prepared. At the same time, many practitioners working in skilled nursing facility (SNF) settings don’t have it on their radar. Download the whitepaper to learn about this significant change in how facilities are paid for care and services, as well as how … Click to continue reading

Starting Oct. 1st 2019 Medicare payments for Skilled Nursing become linked to a patient’s medical and functional problems, not the minutes of therapy they’re going to receive. Those problems are captured from ICD-10 Diagnosis codes, and standardized assessments. Read the blog at CareTeamHub.com now.

The GPM annual overview of CMS-approved MIPS Clinical Quality Measures (CQM) for use by medical groups practicing in Nursing Facilities, Homecare, Assisted Living, and related places of service is now available. It includes an exhaustive list of all measures based on CPT® codes – which are the only link to build a crosswalk to long-term/post-acute … Click to continue reading

In a September 2018 Blog post I opined on CMS’s Total Per Capita Cost (TPCC) methodology proposed for the CY 2019 Physicians Fee Schedule. The lead line pretty much summed up my opinion of the measure – “CMS Continues punishing Geriatric, LTPAC, and Palliative Medicine for serving the frail elderly nearing the end of life.” … Click to continue reading

CMS continues punishing Geriatric, LTPAC, and Palliative Medicine for serving the frail elderly nearing the end of life. This blog explores the systematic problems with existing methods for correctly predicting expenditures; as individuals approach the end of their lives. It’s based on comments we submitted to CMS on the draft 2019 Physician Fee Schedule. America … Click to continue reading

ONC & CMS are mandating Interoperability – as soon as they have a definition… This year’s Summit was refreshing – more protein, less cotton candy. Drs. Kate Goodrich[i] (CMS) and Don Rucker[ii] (ONC) delivered the mornings’ keynote addresses. Each painted a more solid vision for the future that anyone from those two DHHS arms has … Click to continue reading

Understanding Risk In addition to everything else, today’s practice managers and practitioners need to have a basic understanding of risk adjustment; a statistical process that takes into account the underlying health status and health spending of the enrollee in an insurance plan when looking at their health care outcomes or care costs. A risk adjustment … Click to continue reading